Part III Healthcare Information Standards and Regulation
by John Mattison, Brian Gugerty, Kathleen A. McCormick
Healthcare Information Technology Exam Guide for CHTS and CAHIMS Certifications, 2nd Edition
- Cover
- Title Page
- Copyright Page
- Dedication
- About the Lead Authors
- Contents at a Glance
- Contents
- Foreword
- Acknowledgments
- Part I Healthcare and Information Technology in the United States
- Chapter 1 Healthcare Information Technology: Definitions, Stakeholders, and Major Themes
- The Explosion of Healthcare Information Technology
- New Network Complexity Requires New Standards for Data Sharing and Interoperability
- The Role of HIT in the Continuum of Healthcare
- The Increasing Volume and Shift to Value of Healthcare IT
- Preparing a Critical Mass of Certified Healthcare IT Technicians and Professionals
- The Roles of HIMSS and AHIMA in Support of Healthcare Information Credentialing, Education, and Training
- Chapter Review
- Chapter 2 U.S. Healthcare Systems Overview
- Chapter 3 An Overview of How Healthcare Is Paid For in the United States
- Chapter 4 Healthcare Information Technology in Public Health, Emergency Preparedness, and Surveillance
- Chapter 1 Healthcare Information Technology: Definitions, Stakeholders, and Major Themes
- Part II Fundamentals of Healthcare Information Science
- Chapter 5 Computer Hardware and Architecture for Healthcare IT
- Chapter 6 Programming and Programming Languages for Healthcare IT
- Languages and Virtual Machines
- Operating Systems
- The C Language
- The C++ Language
- The Java Language
- Hypertext Markup Language (HTML)
- Extensible Markup Language (XML)
- Active Server Pages (ASP)
- PHP: Hypertext Preprocessor (PHP)
- Programming Languages and Development Environments for Mobile Health Application Development
- Chapter Review
- Chapter 7 Databases, Data Warehousing, Data Mining, and Cloud Computing for Healthcare
- Chapter 8 Networks and Networking in Healthcare
- Chapter 9 Systems Analysis and Design in Healthcare
- Chapter 10 Fundamentals of Health Workflow Process Analysis and Redesign
- Life Cycle of Major Information Technology Implementation and Organizational Change
- Process Management and Process Improvement
- Methodologies for Understanding Processes
- Workflow Mapping Tools
- Success Factors for Implementing Clinical Process Change
- Identification and Prioritization of Targets for Workflow Improvement
- Change Management
- Chapter Review
- Chapter 11 Healthcare IT Project Management
- Chapter 12 Assuring Usability of Healthcare IT
- Part III Healthcare Information Standards and Regulation
- Chapter 13 Navigating Health Data Standards and Interoperability
- Chapter 14 Interoperability Within and Across Healthcare Systems
- User Identity
- User Account Support
- Authentication
- Accountability
- Roles and Permissions
- Multilevel Data Confidentiality
- Medical Records Regulations
- Other Sources of Access Control Rules
- Data Treated at the Highest Level of Confidentiality
- Purpose of Use
- Patient Privacy
- Summary of Basic Access Control
- Healthcare Information Exchange
- Access Control Languages
- Chapter Review
- Chapter 15 Assuring the Health Insurance Portability and Accountability Act Compliance
- Introduction to the Healthcare Legal Environment
- HIPAA, HITECH Act, and Omnibus Rule Overview
- HIPAA Privacy Rule: 45 CFR Part 164, Subpart E
- Use and Disclosure of PHI: 45 CFR 164.502(a)
- Minimum Necessary: 45 CFR 164.502(b)
- BA Contracts: 45 CFR 164.504(e), 45 CFR 164.308(b), 45 CFR 164.314(a)
- Consent: 45 CFR 164.506
- Authorization Requirements: 45 CFR 164.508
- Release Without Consent or Authorization: 45 CFR 164.512
- Avert a Serious Threat to Safety: 45 CFR 164.512(j)
- Disclosure for Specialized Government Functions: 45 CFR 164.512(k)
- Limited Data Set: 45 CFR 164.514(e)
- Notice of Privacy Practices: 45 CFR 164.520
- Patient Privacy Rights
- Privacy Official and Security Official: 45 CFR 164.530(a), 45 CFR 164.308(a)(2)
- Workforce Training: 45 CFR 164.530(b), 45 CFR 164.308(a)(5)
- Standard Safeguards: 45 CFR 164.530(c)
- Sanctions: 45 CFR 164.530(e), 45 CFR 164.308(a)(1)
- Privacy and Security Policies and Procedures: 45 CFR 164.530(i), 45 CFR 164.316
- HIPAA Security Rule: 45 CFR Part 164, Subpart C
- Breach Notification Rule: 45 CFR Part 164, Subpart D
- Breach Definition: 45 CFR 164.402
- General Breach Description Notification Requirements: 45 CFR 164.404(a–c) 38
- Methods of Notification: 45 CFR 164.404(d)
- Notification Delay for Law Enforcement Purposes: 45 CFR 164.412
- Specific CE Requirements: 45 CFR 164.404
- Specific BA Requirements: 45 CFR 164.410
- HIPAA Enforcement Rule: 45 CFR Part 160
- Additional Guidance
- Chapter Review
- Chapter 16 Health Information Technology and Health Policy
- Chapter 17 The Electronic Health Record as Evidence
- Sources and Structure of U.S. Law
- Three Branches of U.S. Government Responsible for Carrying Out Government Powers and Functions
- The Medical Record
- EHR Standards for Records Management and Evidentiary Support
- The Role and Use of the Medical Record in Litigation and/or Regulatory Investigations
- The Federal Rules of Evidence (FRE)
- Incident Report Privilege
- The Scope and Procedures of E-Discovery Process
- The Path Forward: A Coming Together of Laws, Rules, and Regulations
- A New Era in the Nation’s Health Information Infrastructure
- Chapter Review
- Part IV Implementing, Managing, and Maintaining Healthcare IT
- Chapter 18 Effective Organizational Communication for Large-Scale Healthcare Information Technology Initiatives
- Chapter 19 Non-EHR HIT: From Architecture to Operations
- The Healthcare IT Organization: Challenges, Structures, and Roles
- HIT Major Non-EHR HIT Systems and Applications
- Working with Enterprise HIT Systems
- Vendor-Specific Systems: Acquisition, Installation, and Maintenance of HIT Systems
- Radiology Systems
- Pharmacy Systems
- Lab Systems
- Patient Monitoring Systems
- Supply Chain Systems
- ERP Software Systems
- Finance and Operations Systems
- Clinical Decision Support (CDS)
- Patient Relationship Management Systems
- Application Data Interchange Systems
- Chapter Review
- Chapter 20 EHR Implementation and Optimization
- Using HIT and EHRs for Organizational Transformation
- Managing the Project
- A Good Product and Team
- The Orders Catalog and Order Sets
- Documentation Templates and Note Hierarchy
- Migrating Data
- Extraction, then Conversion
- Develop Workflows
- Policies Affect Workflows
- Testing
- Training
- Reduce Schedules for Go-Live
- Downtime Procedures
- Go-Live Support
- During and Post Go-Live Communication
- Monitoring Success
- Chapter Review
- Chapter 21 Training Essentials for Implementing Healthcare IT
- Chapter 22 Using Healthcare IT to Measure and Improve Healthcare Quality and Outcomes
- Why Measure Quality?
- Defining Quality Measures for EHR Queries
- What Makes a Quality Measure Worth Measuring?
- What Is the Connection Between Clinical Decision Support and Quality Measurement?
- What Is the Measure of a Measure?
- What Are the Expectations for the EHR to Perform Measurement?
- What Changes Are Needed to Enable Electronic Clinical Quality Measures?
- How Are Value Sets Standardized?
- Moving Forward: Retooling vs. Creating Measures de Novo Based on Data in EHRs
- Chapter Review
- Part V Optimizing Healthcare IT
- Chapter 23 Big Data and Data Analytics
- Innovation in Healthcare IT: The Creative Reconstruction of Health and Wellness
- Which Technologies Are Creating Big Opportunities for Innovation?
- A Simple Taxonomy for Innovation
- The Different Communities Engaged in Healthcare Delivery
- What Can the Impact of Innovations Be on the Future Technologies?
- Key Gaps and How Technology Can Help Close Them
- The Empathy Gap Is the Most Important Gap to Close
- Gap Between Evidence and Behavior for Disorders of Lifestyle
- Environmental Disruption Gap (Chemical, Thermal, Microbial)
- Learning/Education/Communication Gap
- AI/Robotics Robotics Gap
- Gap in Seamless and Reliable Human Data Entry
- Gap in Evidence-Based Virtual Care
- The Science vs. the Application of –omics (Genomics, Microbiomics, Proteomes, etc.) Gap
- Gap in Drones and Healthcare
- Gap in 3D Printing
- Gap in Chatbots, AI, Trust, and Health
- Gap in Transcranial Magnetic Stimulation and Health
- Gap in New Psychopharmacology Research and Previously Refractory Psychiatric States
- Gap in Harnessing Exponential Technology
- Chapter Review
- Chapter 24 Innovations in Healthcare Impacting Healthcare Information Technology
- Innovations in Genetics/Genomics/Pharmacogenomics
- Innovations in Mobile Devices in Healthcare
- Wireless Communication Technologies and Standards
- Mobile Devices Connected to the Internet
- Mobile Device Security Protocols
- How Mobile Networks Are Being Used in Healthcare
- The Most Popular Mobile Health Apps
- Healthcare Professionals’ Use of Mobile Devices
- Major Barriers to Advancing Mobile Devices
- Steps to Institutionalizing Genomic and Mobile Technologies
- Innovative Institutions Pushing Advances in Genomics and Mobile Devices
- Nine Technologies for Future Innovation Using Devices
- Social Media Being Used in Healthcare
- Innovations in Telehealth
- Chapter Review
- Chapter 23 Big Data and Data Analytics
- Part VI Making It All Secure: Healthcare IT Privacy, Security, and Confidentiality
- Chapter 25 Framework for Privacy, Security, and Confidentiality
- Chapter 26 Risk Assessment and Management
- Chapter 27 Physical Safeguards, Facility Security, Secure Systems and Networks, and Securing Electronic Media
- Chapter 28 Healthcare Information Security: Operational Safeguards
- Operational Safeguards: A Component of Information Security
- Operational Safeguards in Healthcare Organizations
- Security Management Process
- Information Management Council
- Identity Management and Authorization
- Awareness and Training Programs
- Risk Assessment
- Software and System Development
- Configuration Management
- Consent Management
- System Activity Review
- Continuity of Operations
- Incident Procedures
- Sanctions
- Evaluation
- Business Associate Contracts
- Healthcare-Specific Implications on Operational Safeguards
- Operational Safeguards in Emerging Healthcare Trends
- Chapter Review
- Chapter 29 Architectural Safeguards
- Chapter 30 Healthcare Cybersecurity Technology
- Chapter 31 Cybersecurity Considerations for Medical Devices
- Part VII Appendixes
- Appendix A AHIMA CHTS Exams Domain Maps
- CHTS-CP: Clinician/Practitioner Consultant Examination
- CHTS-IM: Implementation Manager Examination
- CHTS-IS: Implementation Support Specialist Examination
- CHTS-PW: Practice Workflow & Information Management Redesign Specialist Examination
- CHTS-TR: Trainer Examination
- CHTS-TS: Technical/Software Support Staff Examination
- Appendix B HIMSS CAHIMS Exam Domain Map
- Appendix C About the Download
- Appendix D Healthcare Professional and Workforce Roles
- Appendix A AHIMA CHTS Exams Domain Maps
- Glossary
- Index
PART III
Healthcare Information Standards and Regulation
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